Paper Info
Title
Towards a decision support system for optimising clinical pathways of elderly patients in an emergency department.
Abstract
Data stored in Healthcare Information Systems correspond potentially to a vast source of information for supporting decisions in management or public health issues. The presented study illustrates clinical data valuation, through the. analysis of clinical pathways of elderly patients at the Emergency Department (ED) of Rennes hospital. Method. Relevant data were extracted from the Emergency Department database. Several analysis (e.g., cusum method) and representation tools (e.g., Graphviz) were used to study the patients' pathways, the c dynamics of flows and the patients' characteristics. Results: 4951 admissions were analysed and visualized. The representations provided a synthetic, global and comprehensive view of the department activities, to the satisfaction of the clinicians. Limitations of the ICD-10 coding of the diagnoses at the ED were pointed out as well as syntax and semantic interoperability issues. A solution is proposed for automating and scaling the Decision Support System.
Year
DOI
Venue
2007
10.3233/978-1-58603-774-1-840
Studies in Health Technology and Informatics
Keywords
Field
DocType
management information systems,emergency service, hospital,critical pathways,decision making, computer-assisted
Health care,Information system,CUSUM,Data mining,Emergency department,Computer science,Decision support system,Semantic interoperability,Coding (social sciences),Medical diagnosis
Conference
Volume
Issue
ISSN
129
Pt 2
0926-9630
Citations 
PageRank 
References 
1
0.38
1
Authors
5
Name
Order
Citations
PageRank
Marc Cuggia110120.05
Delphine Rossille2274.49
Aude Arnault310.38
Jacques Bouget410.38
Pierre Le Beux56520.68